As the saying goes, the effect is poor?The key to the intervention of Chinese medicine, the key to work is not to eat rice

Author:Guangdong Provincial Hospital Time:2022.08.17

Open -column

"As the saying goes" is the first Chinese medicine department with inflammatory bowel disease in China, which means "enteritis"; the creative team of "often saying" is the inflammatory bowel disease of Guangdong Hospital with Professor Chen Yan as the main body. The slow disease management team, Professor Chen Yan is the popular popularization of the Chinese Chinese Medicine Society, emphasizing that the professionalism of traditional Chinese medicine science is his style, so this column can also be understood as "intestinal extension"; , Choose a Chinese medicine plan for patients with inflammatory bowel disease.

Although the patients of Crotn's disease are mainly adolescents, we are still mainly adults. There are not many patients with children. Recently, a child's diagnosis and treatment have left a deep impression on me, and some experiences are worth summing up.

The patient was only 14 years old this year. In September 2020, he was visited in a hospital in Guangzhou because of anal fistula. He was finally diagnosed with Crohn's disease, severe activity, accompanied by perianal lesions. Because the children are relatively small, the family members are also very active, and the doctor also gives the current best biological agent for treatment. At first, the treatment effect was okay, but over time, this biological agent failed. Experts from foreign hospitals are also very responsible and replaced another biological agent for children in a timely manner. However, by February 2022, I returned to the hospital to review again. Although the condition improved slightly after changing the medicine, it was still in a moderate activity period and did not achieve the curative effect of inducing relief. The child's mother was anxious and immediately went to another province's authoritative Western Hospital to inquire about the next treatment plan. Experts suggested that immunosuppressive agents were used on the basis of biological agents. For this solution, the mother's mother is still worried. Because compared with biological agents, immunosuppressants have many side effects, and children are younger, so the adjustment plan still affects the growth and development of children. Because of seeing the tweets of "common saying" of Guangdong Provincial Hospital of Traditional Chinese Medicine, she decided to come to our slow disease outpatient clinic.

When I took the patient, I carefully reviewed the entire diagnosis and treatment process of the child. Whether it was disease diagnosis, plan selection, and plan adjustment, it was very rigorous and standardized. Diet therapy (such as CDED therapy, SCD therapy, etc.), unfortunately it is a pity that there is no satisfactory effect. This situation should belong to the category of refractory Crohn's disease. Therefore, I discussed with my mother's mother as follows:

1. We will use the best way to treat the children, but we cannot pack tickets. It is limited to three months of treatment. If we can get satisfactory results in three months, we can maintain the Chinese medicine plan. The effect of satisfactory results should still be used in accordance with the opinions of Western medicine experts to add immunosuppressive agents. After all, children are too young and cannot afford their condition.

2. Children belong to Croin disease. I do not agree to directly discontinue biological preparations, so that the condition is easy to rebound. Our goal is to relieve the disease without using immunosuppressive agents. After all, biological agents The side effects are not too large, and it is not necessary to use an immunosuppressive agent to achieve satisfactory effects. This is a great progress than the previous use of biological preparations but ineffective.

Three months later, the patient returned to the Maternal and Children's Hospital for review. The results before and after treatment were as follows:

The above results show that the patient's inflammation indicators are still high after one year of use, gastroscopy, colonoscopy and capsule endoscopy are still ulcer, and the ulcers increase and increase from the front. The post -review reminded the patient's condition significantly, avoiding the dilemma of using immunosuppressive agents.

Regarding such a result, we also communicated and exchanged with Western medicine experts. Western medicine experts also felt strange that without changing the early biological agents, no immunosuppressive agent was used in accordance with the specifications. Why did it achieve a good effect? Intersection

In the Chinese medicine+some gastrointestinal nutrition plan we implemented, although traditional Chinese medicine also played a great role, the patient's improvement and some gastrointestinal nutrition were still very important; in this regard, Western medicine experts also questioned and used nutritional treatment for nutritional treatment. Children's Crohn's disease is a consensus. Everyone is using it. Previously, the maternal and children's hospital also performed nutritional therapy for patients. Why did not get the ideal effect?

The secret of this is: don't eat rice!

Rice is one of the staple foods in the south. It is indeed a very hard thing for the southerners. Therefore, I also want to thank this child to obey our arrangements, so that the progress of the entire disease has shifted a turnover. Essence Many of our patients are doing our traditional Chinese medicine plan. Although everyone can persist in not allowing rice, there are still many questions in our hearts. Below we will solve your confusion from the perspective of traditional Chinese medicine.

As mentioned earlier, wet turbidity is a very important pathogenic factor for patients with Crohn's disease. Just like the garbage that stays in the body, to treat this disease, the key is to remove these garbage, and if you want to remove the garbage, you need to pay attention to two links. One is the removal of existing garbage. The main entry point of the plan is to reduce the generation of garbage.

How can we reduce the generation of garbage?

For patients with Crotn disease, it is necessary to reduce humidity into the body.

The wetness of Mizutani is a relatively common source of moisture. If the spleen and stomach are not transported, the wetness of Mizutani is likely to form wet turbidity. At the level of staple food, rice (rice) contains more moisture. Especially compared with wheat, in addition to more moisture, rice (rice) lacks the role of Shengyang. Therefore, we adjusted the staple food of the child and instructed them to avoid eating rice or rice (and related rice products: rice noodles, rice porridge, intestinal powder, etc.), and adjust the staple foods with wheat -based pasta and bags. The effect of this patient plays a key role. Whether the treatment of diseases can take effect and think about it in order to give the best solution. The key to this child is the key to the nature of Chinese medicine and the understanding of the disease and the diet, so that the right medicine can be prescribed.

Medical Guidance:

Chen Yan, a chief Chinese medicine doctor, a master's degree instructor, director of the Department of Gastroenterology, Fangcun Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine, the heir of academic experience in the academic experience of old Chinese medicine experts, and youth famous Chinese medicine medicine in Guangdong Provincial Hospital of Traditional Chinese Medicine. The person in charge of the management team of inflammatory bowel disease in Guangdong Province. The head of the research team of the Earth Academic College Research Team of Guangdong Hospital of Traditional Chinese Medicine. Popular Popularity of the Chinese Medicine Society, member of the Gastroenterologist Branch of the Guangdong Medical Association, executive director of the World Lianlian Gastroenterology Commission, member of the Chinese Medicine Culture Branch of the Chinese Medicine Society, Deputy Chairman of the Communication Professional Committee of the Guangdong Academy of Traditional Chinese Medicine, The Wu Jieping Medical Foundation of the China Inflammation Intestinal Disease Alliance Traditional Chinese and Western Medicine Integrated Professional Committee, a member of the Spleen and Stomach Disease Branch of the Chinese Academy of Chinese Medicine.

At present, the theoretical research of academic genre in TCM supplement soil supplementation has certain advantages in the theory of traditional Chinese medicine; as the person in charge of the management team of inflammatory bowel diseases, the use of traditional Chinese medicine to treat inflammatory bowel disease (Crotn disease, ulcerative colitis ), Professor Yu Shaoyuan, a famous Chinese medicine medicine in Guangdong Province, is good at using Chinese medicine to treat chronic digestive system diseases such as full, diarrhea, and constipation. The editor -in -chief has 9 monographs in traditional Chinese medicine and wrote more than 60 related papers.

Flame -inflammatory bowel disease clinic: Thursday afternoon, 4th floor of Fangcun Hospital, Fangcun Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine. (Clarifying patients with inflammatory bowel disease, you can add the number to the outpatient clinic.)

Supply: Chen Yan Huang Zhibin Zheng Jie, Department of Spleen and Stomach Diseases, Guangdong Provincial Hospital of Traditional Chinese Medicine